Cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized...

Area of Science:

• Urology
• Behavioral Science
• Clinical Trials

Background:

• Radical prostatectomy frequently leads to lower urinary tract symptoms (LUTS).
• Managing LUTS post-prostatectomy is crucial for patient quality of life.
• Existing treatments may not fully address the behavioral and cognitive aspects of LUTS.

Purpose of the Study:

• To evaluate the efficacy of a cognitive-behavioral program (CBP) for managing LUTS after radical prostatectomy.
• To determine if CBP can significantly reduce urinary incontinence intensity and symptom burden.

Main Methods:

• A randomized clinical trial involving 41 participants (20 intervention, 21 control) over three months.
• The intervention group received a structured CBP, while the control group received standard care.
• Outcomes included urinary incontinence intensity and LUTS, assessed using the Pad-Test and validated questionnaires.

Main Results:

• The CBP group demonstrated significantly lower urinary incontinence intensity (p≤0.001).
• Participants in the CBP group experienced fewer changes in urinary frequency (p≤0.001), urgency (p≤0.001), nocturia (p=0.005), stress incontinence (p≤0.001), and urge incontinence (p≤0.045).

Conclusions:

• The cognitive-behavioral program is an effective strategy for mitigating lower urinary tract symptoms following radical prostatectomy.
• CBP offers a valuable non-pharmacological approach to improve post-prostatectomy urinary function.